HomeMy WebLinkAbout457049 AAA PEST PROS - INSURANCE CERTIFICATE (12)125000
CERTIFICATE OF LIABILITY INSURANCE
DAT8/22/20112YYI
THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLY AND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS
CERTIFICATE DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES
BELOW. THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED
REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER.
IMPORTANT: If the certificate holder Is an ADDITIONAL INSURED, the policy(ies) must be endorsed. If SUBROGATION IS WAIVED, subject to
the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does not confer rights to the
certificate holder in lieu of such endorsement(s).
PRODUCER
CONTACT San Francisco Certificate Dept
Commercial Lines - (415) 541-7900
PHONE q15-541-7900 FAX 866-495-4735
_WC.,N%,90 AAIQ No):
Wells Fargo Insurance Services USA, Inc. - CA Lic#: OD08408
EMAIL sanfrancisoo.certs@wellsfargo.com
wellsfar
ADDRESS: 9
INSURER(S) AFFORDING COVERAGE
NAIC 0
45 Fremont Street, Suite 800
San Francisco, CA 94105-2259 +,4.2"j a
INSURER A: SPARTA Insurance Company
20613
INSURED
INSURER 8:
AAA Pest Pros James Marquardt
INSURER C
PO Box 20235
INSURER D
INSURER E :
Boulder CO 80308
INSURER F
COVERAGES CERTIFICATE NUMBER: 4755821 REVISION NUMBER: Sea helnw
THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD
INDICATED. NOTWITHSTANDING ANY REQUIREMENT, TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS
CERTIFICATE MAY BE ISSUED OR MAY PERTAIN, THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS,
EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS.
INSR
LTR
TYPE OF INSURANCE
ADDL
INSR
SUBR
MD
POLICY NUMBER
POLICY EFF
MM/DDIYYYY
POLICY EXP
NMI DD/YYYY
LIMITS
A
GENERAL LIABILITY
tXCOMMERCIAL GENERAL LIABILITY
CLAIMS -MADE O OCCUR
011 GLO636800
8/18/2012
8/18/2013
EACH OCCURRENCE
$ 1,000,000
DAMAGE TO RENTS
PREMISESIEa occudence)
E 100,000
MED EXP (Any one person)
$ 5.000
PERSONAL S ADV INJURY
$ 1.000,000
GENERAL AGGREGATE
$ 1,000,000
GEN'L AGGREGATE
X POLICY
1LOC
LIMIT APPLIES PER:
PRO-
PRODUCTS - COMPIOP AGG
$ 1,000,000
S
AUTOMOBILE
LIABILITY
ANY AUTO
ALL OWNED SCHEDULED
AUTOS AUTOS
NON -OWNED
HIRED AUTOS AUTOS
-
COMBINED SINGLE LIMIT
Ea accident
BODILY INJURY (Par person)
$
BODILY INJURY Per accident
$
PROPERTYDAMAGE
Per accident
$
UMBRELLA LIAR
EXCESS LIAB
OCCUR
CLAIMS -MADE
EACH OCCURRENCE
$
AGGREGATE
$
CEO T7 RETENTIONS
$
WORKERS COMPENSATION
AND EMPLOYERS' LIABILITY YINI
ANY PROPRIETORIPARTNERIEXECUTIVE
OFFICER/MEMBER EXCLUDED? ❑
(Mandatory in NH)
II yes, duscuhe under
DESCRIPTION OF OPERATIONS We.
NIA
WC STATU- OTH-
TOBY LIMITS I _ER_
E.L. EACH ACCIDENT
S
E.L. DISEASE - EA EMPLOYE
$
E.L. DISEASE- POLICY LIMIT 1
$
DESCRIPTION OF OPERATIONS I LOCATIONS I VEHICLES (Attach ACORD 101, Additional Remarks Schedule, If more apace Is required)
Certificate holder is included as additional insured per blanket policy endorsement.
City of Fort Collins
P.O. Box 580
Fort Collins CO 80522
SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE
THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN
ACCORDANCE WITH THE POLICY PROVISIONS.
AUTHORIZED REPRESENTATIVE
The ACORD name and lotto are realstared marks of ACORD
ACORD CORPORATION_ All rinhte r.Narvod
ACORD 25 (2010/05) 11111111111111111111111111111111111I I 11111111111111111111111111111111111111111111111111111 'CT801AYL00323810y0b0/0/0.N'
SPARTA Insurance Company COMMERCIAL Solo 0410
THIS ENDORSEMENT CHANGES THE POLICY. PLEASE READ IT CAREFULLY.
COMMERCIAL LIABILITY BROADENING ENDORSEMENT
This endorsement modifies insurance provided under the following:
COMMERCIAL GENERAL LIABILITY COVERAGE FORM
COMMERCIAL GENERAL LIABILITY DECLARATION
In addition to words and phrases contained in thelll.
Commercial General Liability Coverage Form, other
words and phrases that appear in quotation marks
have special meaning. Refer to Paragraph VII.
DEFINITIONS of this endorsement. For the purposes
of the coverage provided by this endorsement these
definitions apply in place of their definitions stated
elsewhere In the policy.
The following provisions apply only with respect to the
coverage provided by this endorsement. However, the
coverage expansions provided throughout this
endorsement do not apply if coverage is excluded
either by the provisions of the Coverage Part or by
endorsement.
1. COVERAGE A (Bodily Injury and Property
Damage)
A. Non -Owned Watercraft
Paragraph 2.g.(2)(a) of Section I - Coverage A
Is replaced with the following:
(a) Less than 51 feet long; and
B. Property Damage Extension
The following is added to Exclusion J.:
1. Borrowed Equipment
Paragraph (3) and (4) of this exclusion does
not apply to "property damage" to borrowed
equipment while not being used to perform
operations at the job site.
2. Elevators
The following is added to Exclusion J.:
Paragraph (3) and (4) of this exclusion does
not apply to "property damage" arising from
the use of elevators.
IL SUPPLEMENTARY PAYMENTS - COVERAGES
A AND B
In the Supplementary Payments - Coverages A
And B:
A. The limit for the cost of ball bonds Is Increased
from $250 to $1,000; and
B. The limit for loss of earnings Is Increased from
$100 a day to $500 a day.
WHO IS AN INSURED
A. Paragraph 2. under Section II is expanded to
include the following:
1. Additional Insured by Contract,
Agreement or Permit
Any person(s) or organlzatlon(s) is an
additional insured when you have agreed,
In a written contract, written agreement or
because of a permit issued by a state or
political subdivision, that such person(s) or
organization(s) be added as an additional
insured on your policy, provided the Injury
or damage occurs subsequent to the
execution of the contract or agreement.
A person or organization is an additional
Insured under this provision only for that
period of time required by the contract or
agreement.
However, no such person or organization is
an Insured under this provision if such a
person or organization is included as an
Insured by an endorsement Issued by us
and made part of this Coverage Part.
a. Vendors
Any person(s) or organlzation(s)
(referred to herein as vendor) with
whom you agreed, because of a written
contract or agreement to provide
Insurance, but only with respect to
"bodily injury" or "property damage"
arising out of "your products" which are
distributed or sold In the regular course
of the vendor's business, subject to the
following additional exclusions:
(1) The Insurance afforded the vendor
does not apply to:
(a) "Bodily Injury" or 'property
damage" for which the vendor is
obligated to pay damages by
reason of the assumption of
liability In a contract or
agreement. This exclusion does
not apply to liability for damages
that the vendor would have in
GL 50 04 0410 includes copyright material of ISO, Inc. with its permission.
Page 1 of 6 ❑
cywinumouaanwaowow
the absence of the contract or
(2) Any Insured person or organization,
agreement:
from whom you have acquired such
(b) Any express warranty
products, or any Ingredient, part or
unauthorized by you;
container, entering into,
c An physical or chemical
y p . y
accompanying or containing such
products.
change in the product made
intentionally by the vendor,
b. Lessors of Equipment
(d) Repackaging, unless unpacked
(1) Any person(s) or organization(s)
solely for the purpose of
from whom you lease equipment;
inspection, demonstration,
but only with respect to liability for
testing, or substitution of parts
"bodily Injury", "property damage" or
under instructions from the
"personal and advertising injury".
manufacturer, and then
caused, in whole or in part, by your
repackaged in the original
maintenance, operation or use of
container:
equipment leased to you by such
person(s) or organizatlon(s).
(e) Any failure to make such
inspections, adjustments, tests
(2) With respect to the Insurance
or servicing as the vendor has
afforded to these additional
agreed to make or normally
insureds, this Insurance does not
undertakes to make In the usual
apply to any 'occurrence" which
course of business, In
takes place after the equipment
connection with the distribution
lease expires.
or sale of the products;
c. Lessors of Land or Premises
(f) Demonstration, Installation,
Any person(s) or organization(s) from
servicing or repair operations,
whom you lease land or premises, but
except such operations
only with respect to liability arising out
performed at the vendor's
of the ownership, maintenance or use
premises In connection with the
of that part of the premises leased to
sale of the product:
you; and subject to the following
(g) Products which, after distribution
additional exclusions:
or sale by you, have been
This insurance does not apply to:
labeled or relabeled or used as
(1) Any "occurrence' which takes place
a container, part or Ingredient of
after you cease to be a tenant in
any other thing or substance by
that premises.
or for the vendor.
(h) °Bodily Injury" or "property
(2) Structural alterations, new
construction demolitiono
damage" arising out of the sole
operations performed by or
negligence of the vendor for Its
behalf of such person or
own acts or omissions or those
organization.
of Its employees or anyone else
acting on its behalf. However,
d. Architects, Engineers or Surveyors
this exclusion does not apply to:
(1) Any architect, engineer, or surveyor
(1) The exceptions contained in
engaged by you but only with
contained In Subparagraphs
respect to liability for "bodily injury",
(d) or (f); or
"property damage" or "personal and
(il) Such Inspections,
advertising injury" caused, In whole
adjustments, tests or
or In part, by your acts or omissions
adjusting as the vendor has
or the acts or omissions of those
acting on your behalf:
agreed to make or normally
undertakes to make In the
(a) In connection with your
usual course of business, In
premises; or
connection with the
(b)In the performance of your
distribution of sale of the
ongoing operations
products.
Page 2 of 6 Includes copyright material of ISO, Inc. with its permission GL 50 04 0410 ❑
I IIIIII I I II I II I II I III II I II I I i l II I II I I I I III I I II I II II I II III cveoinszo"naeroauaanoro
(2) With respect to the Insurance
afforded to these additional
Insureds, the following additional
exclusion applies:
This insurance does not apply to
"bodily injury", "property damage" or
"personal and advertising injury"
arising out of the rendering of or the
failure to render any professional
services by or for you, including:
(a) The preparing, approving, or
falling to prepare or approve,
maps, shop drawings, opinions,
reports, surveys, field orders,
change orders or drawings and
specifications; or
(b) Supervisory, inspection,
architectural or engineering
activities.
a. Permits Issued By State Or Political
Subdivisions
Any stale or governmental agency or
subdivision or political subdivision but
only with respect to operations
performed by you or on your behalf for
which the state or governmental agency
or subdivision or political subdivision
has issued a permit or authorization.
This Insurance does not apply to:
(1) "Bodily injury", "property damage"
or "personal and advertising injury"
arising out of operations performed
for the federal government, state or
municipality, or
(2) "Bodily Injury' or "property damage"
Included within the "products -
completed operations hazard".
f. Any Other Party
Any other person(s) or organization(s)
who Is not an Insured under Paragraph
a. through e. above, but only with
respect to liability for "bodily Injury",
"property damage" or "personal and
advertising injury' caused, in whole or
In part, by your acts or omissions or the
acts or omissions of those acting on
your behalf:
(1) In the performance of your ongoing
operations;
(2) In connection with your premises
owned by or rented to you; or
(3) In connection with "your work" and
included within the "products -
completed operations hazard", but
only if:
GL 50 04 04 10
(a) The written contract or
agreement requires you to
provide such coverage to
additional insureds; and
(b) 'This Coverage Part provides
coverage for 'bodily Injury' or
"property damage" Included
within "products -completed
operations hazard".
With respect to the insurance afforded
to these additional insureds, this
coverage does not apply to:
"Bodily injury', "property damage" or
"personal and advertising injury' arising
out of the rendering of, or failure to
render, any professional architectural,
engineering or surveying services,
including:
(1) The preparing, approving, or falling
to prepare or approve, maps, shop
drawings, opinions, reports,
surveys, field orders, change orders
or drawings and specifications; or
(2) Supervisory, inspection,
architectural or engineering
activities.
The limit of Insurance that apply to
additional insureds under this extension
is described in Section III - Limits of
Insurance.
How this Insurance applies when other
insurance Is available to the additional
insured Is described in the Other
Insurance Condition In Section IV -
Commerclal General Liability
Conditions.
2. Subsidiaries
Any subsidiary and subsidiary thereof, of
yours which is a legally Incorporated entity
of which you own a financial interest of
more than 50% of the voting stock on the
effective date of the Coverage Part. The
insurance afforded herein for any
subsidiary not named In this Coverage Part
as a named insured does not apply to Injury
or damage with respect to which an Insured
under this Coverage Part is also an Insured
under another policy or would be an
Insured under such policy but for its
termination or the exhaustion of Its limits of
insurance.
Includes copyright material of ISO, Inc. with its permission
Page 3 of 6 O
-cyeola2 22woaroaa 1010-
3. Newly Formed Or Acquired
Organizations
In Paragraph 3.a. of Section II - Who Is An
Insured, is increased from 90th day to
180th day.
However, this expansion does not apply if
coverage for newly formed or acquired
organizations is excluded either by the
provisions of the Coverage Part or by
endorsement.
[1TA 40 &K$J 1dF911:7:1a14
A. Damage to Premises Rented To You
Paragraph 6. of Section III - Limits Of
Insurance is replaced with the following:
6. Subject to Paragraph 5. above, the
Damage To Premises Rented To You Limit
Is the most we will pay under Coverage A
for damages because of "property damage"
to any one premises, while rented to you, or
in the case of damage by fire, while rented
to you or temporarily occupied by you with
permission of the owner.
The most we will pay In any one
"occurrence" is the higher of the following:
(a) $300,000; or
(b) The amount shown in the Declarations
for Damages to Premises Rented to
You Limit.
B. Medical Payments
Paragraph 7. of Section III - Limits Of
Insurance Is replaced with the following:
7. Subject to Paragraph 5. above, the Medical
Expense Limit is the most we will pay under
Coverage C for all medical expenses
because of "bodily Injury" sustained by any
one person.
The most we will pay because for "bodily
Injury" sustained by any one person Is the
higher of the following:
(a) $10,000; or
(b) The amount shown in the Declarations
for Medical Expense Limit.
V. SECTION IV- COMMERCIAL GENERAL
LIABILITY CONDITIONS
The following items are amended:
A. Duties In The Event Of Accident, Claim, Suit
Or Loss
The following Items are added to Paragraph 2.
of Section IV - Commercial General Liability
Conditions:
e. Additional Insureds Other Insurance
If we cover a claim or "suit under this
Coverage Part that may also be covered by
other Insurance available to an additional
insured, such additional Insured must
submit such claim or "suit" to the other
Insurer for defense and Indemnity.
However, this provision does not apply to
the extent that you have agreed In a written
agreement that this Insurance is primary
and non-contributory with the additional
Insured's own insurance.
f. Knowledge Of An Occurrence, Offense,
Claim Or Suit
Paragraphs a. and b. apply to you or to any
additional insured only when such
"occurrence", offense, claim or "suit" is
known to:
(1) You or any additional Insured that is an
Individual;
(2) Any partner, If you or an additional
Insured Is a partnership;
(3) Any manager, if you or an additional
Insured Is a limited liability company;
(4) Any "executive officer" or Insurance
manager, if you or an additional insured
Is a corporation;
(5) Any trustee, if you or an additional
Insured is a trust; or
(6) Any elected or appointed official, if you
or an additional insured is a political
subdivision or public entity.
This duty applies separately to you and any
additional insured.
B. Otherinsurance
The following hems are added to Paragraph
4.b. of Section IV - Commercial General
Liability Conditions:
(5) This Insurance is excess over any of the
other Insurance, whether primary, excess,
contingent or on any other basis:
(a) Property Damage to Borrowed
Equipment Or Use Of Elevators
If the loss arises out of "property
damage" to borrowed equipment or the
use of elevators to the extent not
subject to Exclusion J. of Section I -
Coverage A - Bodily Injury And
Property Damage Liability;
Page 4 of 6 Includes copyright material of ISO, Inc. with Its permission
GL 50 04 0410 ❑
-CYWIazam22 a &MDM-
(b) When You Are Added As An
Additional Insured To Other
Insurance
Any other Insurance available to you
covering liability for damages arising
out of the premises or operations, or
products and completed operations, for
which you have been added as an
additional insured by that insurance; or
(c) When You Add Others As An
Additional Insured To This Insurance
Any other Insurance available to an
additional insured.
However, the following provisions apply
to other insurance available to any
person or organization who Is an
additional insured under this coverage
part.
I. Primary Insurance When Required
By Contract
This insurance is primary If you have
agreed In a written contract or written
agreement that this insurance be
primary. If other insurance is also
primary, we will share with all that
other Insurance by the method
described in c. below.
U. Primary And Non -Contributory To
Other Insurance When Required
By Contract
If you have agreed In a written
contract, written agreement, or permit
that this Insurance is primary and
non-contributory with the additional
insured's own Insurance, this
Insurance is primary and we will not
seek contribution from that other
insurance,
Paragraphs a. and b. do not apply to
other insurance to which the
additional Insured has been added as
an additional Insured.
C. Representations
Paragraph 6. of Section IV - Commercial
General Liability Conditions Is replaced with the
following:
a. When You Accept This Policy
By accepting this policy, you agree:
(1) The statements In the Declarations are
accurate and complete;
(2) Those statements are based upon
representations you made to us; and
(3) We have issued this policy in reliance
upon your representations.
GL 50 04 04 10
b. Unintentional Failure to Disclose
Hazards
If you. unintentionally fail to disclose any
hazards existing at the Inception date of
your policy, we will not deny coverage
under this Coverage Part because of such
failure. However, you must report such
error or omission to us as soon as
practicable after Its discovery.
D. Transfer Of Rights Of Recovery Against
Others To Us
Paragraph 6. of Section IV - Commercial
General Liability Conditions is replaced with the
following:
If the insured has rights to recover all or part of
any payment we have made under this
Coverage Part, those rights are transferred to
us. The insured must do nothing after loss to
impair them. At our request, the Insured will
bring "suit" or transfer those rights to us and
help us enforce them.
However, we waive any right of recovery we
may have against any person or organization
to the extent required of you by a written
contract executed prior to any "occurrence" or
"suit", provided that the "occurrence° or "suit"
arises out of operations contemplated by such
contract. The waiver applies only to the person
or organization designated in such contract.
VI. DEFINITIONS
A. Amended Definitions
1. Advertisement
The following is added to the definition of
".advertisement":
However, "advertisement" does not Include:
The design, printed material, Information or
Images contained in, on or upon the
packaging or labeling of any goods or
products; or
An interactive conversation between or
among persons through a computer network.
2. Coverage Territory
Final paragraph in the definition of "coverage
territory" Is replaced by the following:
provided the Insured's responsibility to pay
damages Is determined in the United States
of America (including Its territories and
possessions), Puerto Rico or Canada, in a
"suit" on the merits according to the
substantive law In such territory or in a
settlement we agree to.
Includes copyright material of ISO, Inc. with its permission
Page 5 of 6 0
3. Insured Contract
(1) Paragraph a. in the definition of "Insured
contract" is replaced by the following:
A contract for a tease of premises.
However, that portion of the contract for
a lease of premises that indemnifies any
person or organization for damage by fire
to premises while rented to you or
temporarily occupied by you with
permission of the owner is subject to the
Damage to Premises Rented To You
Limit described in Section III- Limits of
Insurance;
(2) The first paragraph of Paragraph f. in the
definition of "Insured contract" is
replaced by the following:
That part of any other contract or
agreement pertaining to your business
(including an Indemnification of a
municipality in connection with work
performed for a municipality) under
which you assume the tort liability of
another party to pay for "bodily Injury" or
"property damage" to a third person or
organization, provided the "bodily injury"
or "property damage" is caused, in whole
or In part, by you or by those acting on
your behalf. Tort liability means a liability
that would be Imposed by law in the
absence of.any contract or agreement.
Page 6 of 6
4. Mobile Equipment
Paragraph f.(1) in the definition of "mobile
equipment" is replaced by the following:
(1) Equipment, of at least 1,000 pounds
gross vehicle weight, designed primarily
for:
5. Personal and Advertising Injury
Paragraph f. in the definition of "personal
and advertising injury" is replaced by the
following:
f. Copying, in your "advertisement", a
person's or organization's "advertising
Idea" or style of "advertisement";
B. Added Definitions
"Advertising Idea" means any Idea for an
"advertisement".
Includes copyright material of ISO, Inc. with its permission
GL 50 04 0410